Chapter 5 Anxiety disorders

1. Features and Epidemiology Causes and Prevention Assessment and Treatment

3. Thoughts

4. BehaviorsFeatures and Epidemiology Causes and Prevention Assessment and Treatment

5. Uncued panic attacks AND: Worry about panic attacks Change in behavior With or without agoraphobia Click to see example video: panic disorder video part 1 Features and Epidemiology Causes and Prevention Assessment and Treatment

6. Marked and persistent fear of social or performance situations and fear of acting in a way that causes personal humiliation or embarrassment Exposure to the feared social situation causes anxiety that may come in the form of a situationally bound or predisposed panic attack Recognition that the fear is excessive or unreasonable Feared social or performance situations are avoided or endured with intense anxiety Significant interference with daily living or functioning or marked distress about having the disorder Features and Epidemiology Causes and Prevention Assessment and Treatment

8. Avoidance

9. Impairment of functioningFeatures and Epidemiology Causes and Prevention Assessment and Treatment

10. Restlessness Easily Fatigued Trouble Concentrating Irritability Muscle Tension Sleep Disturbance Extreme, persistent, uncontrollable worry, plus: Features and Epidemiology Causes and Prevention Assessment and Treatment

11. Obsessions AND/OR Compulsions Last more than one hour per day Features and Epidemiology Causes and Prevention Assessment and Treatment

12. Features and Epidemiology Causes and Prevention Assessment and Treatment Re-experiencing Avoidance and/or detachment Physical arousal

13. Features and Epidemiology Causes and Prevention Assessment and Treatment

14. 28.8 Any Anxiety Disorder 18.1 4.7 Panic Disorder 2.7 1.4 Agoraphobia without Panic .8 12.1 Social Anxiety Disorder 6.8 Lifetime prevalence rate 12.5 Specific Phobia 8.7 5.7 12-month prevalence rate Generalized Anxiety Disorder 3.1 1.6 Obsessive-Compulsive Disorder 1.0 6.8 Post-Traumatic Stress Disorder 3.5 5.2 Separation Anxiety Disorder .9 0 5 10 15 20 25 30 Prevalence Rate Features and Epidemiology Causes and Prevention Assessment and Treatment

15. Basal ganglia Prefrontal cortex Anterior cingulate Caudate nucleus Amygdala Thalamus Bed nucleus of stria terminalis Locus coeruleus Septal-hippocampal system Features and Epidemiology Causes and Prevention Assessment and Treatment

16. Features and Epidemiology Causes and Prevention Assessment and Treatment

17. Biological vulnerabilities/early predispositions: (Genetic contributions, brain and neurochemical changes, behavioral inhibition Early problematic interactions with anxious parents: (Poor attachment, social and play isolation, parental withdrawal of child from social activities) Difficulties in elementary school: (Modeling of avoidance, poor development of social and coping skills, failure to master social and evaluative anxiety/sense of lack of control) Difficulties in middle and high school: (Trouble making friendships or cooperating in team projects, social rejection, increased anxiety in social and evaluative situations, increased social avoidance and isolation, excessive worry about future social and evaluative situations) Possible social anxiety disorder Features and Epidemiology Causes and Prevention Assessment and Treatment

18. Benzodiazepines Antidepressants Features and Epidemiology Causes and Prevention Assessment and Treatment

19. Examining the Evidence Hypothesis Testing Decatastophizing Features and Epidemiology Causes and Prevention Assessment and Treatment

21. Flooding

22. Interoceptive exposure

23. Click for video case study of treatment for panic disorder:

24. panic disorder video part 2Features and Epidemiology Causes and Prevention Assessment and Treatment

25. Features and Epidemiology Causes and Prevention Assessment and Treatment